NM 704 Exam 2 Latest Updated- Solved
____________ from clinicians would convey a positive attitude about the process of
labor, and this may potentially enhance maternal confidence and reduce overall stress. -
ANSWER-Greater patience
A _______ may provide relief from preterm labor contractions, whereas a hot shower
may stimulate contractions because of the upright posture and some degree of nipple
stimulation. - ANSWER-Tub bath
A 28 y.o. G1P0 at 40 weeks has 12 hours of regular contractions which stop. This is
most likely what? - ANSWER-Normal early labor
A Bishop score of _______ increases probability of vaginal delivery after labor
induction. - ANSWER-8
According to ACOG, stripping membranes increases the change of labor starting when?
- ANSWER-Within 48 hours
According to Friedan, when does active phase of labor begin? - ANSWER-When rate of
progress increases
According to Friedman, active labor is defined as the point when what? - ANSWER-
Rate of cervical dilation increases sharply
According to Friedman, prolonged latent phase labor is defined as what? - ANSWER-
Greater than 20 hours in a nulliparous woman and more than 14 hours in a multiparous
woman
According to Friedman, what is the rate of dilation during active phase for a multiparous
mother? - ANSWER-1.5 cm/hour
According to Friedman, what is the rate of dilation during active phase for a nulliparous
mother? - ANSWER-1.2 cm/hour
According to Friedman, what is the time limit for the latent phase for a multiparous
mother? - ANSWER-Less than 14 hours
According to Friedman, what is the time limit for the latent phase for a nulliparous
mother? - ANSWER-Less than 20 hours
According to Friedman, when does the second stage of labor begin? - ANSWER-
Complete dilation
, According to Friedman, when does the second stage of labor end? - ANSWER-Birth of
baby
Are prostaglandin receptors always present in myometrial tissues? - ANSWER-Yes
Before 7cm of dilation, is it not uncommon for nulliparous women to not have cervical
change for how long? - ANSWER-2 hours
Does misoprostol or dinoprostone have greater risk for uterine tachysystole? -
ANSWER-Misoprostol
Does oral misoprostol or dinosprostone result in fewer cesareans? - ANSWER-Oral
misoprostol
Early admission in labor may increase what? - ANSWER-(1) use of oxytocin (2) rate of
cesarean birth (3) use of epidural analgesia
Evidence supports what for all women in the first stage of labor? - ANSWER-(1)
continuous support (2) flexible parameters for defining labor progress (3) intermittent
auscultation of the fetal heart (4) promotion of upright positions and activities (5)
nonpharmacologic methods of pain relief
Friedman identified prolonged latent labor as what? - ANSWER-More than 20 hours in
nulliparas and 14 hours in multiparas
Have FHR decelerations with misoprostol always led to adverse neonatal outcomes? -
ANSWER-No
How can you help prevent ketonuria in early labor? - ANSWER-Education women
during prenatal period about adequate food and fluid intake in early labor
How long does it take the uterus to reach a steady state on oxytocin infusion? -
ANSWER-30-40 minutes
If a woman is in stable condition and is not yet in active labor, what can you do? -
ANSWER-Shut it off to correct downregulation
If someone presents for labor evaluation and is not in active labor, what are the
options? - ANSWER-(1) going home (2) admission (3) staying at birth facility with re-
evaluation after period of time
In a healthy woman with a term pregnancy in early labor, the occurrence of ketonuria is
indicative of what? - ANSWER-Inadequate nutrition
Is intervention always necessary with ketonuria? - ANSWER-No
____________ from clinicians would convey a positive attitude about the process of
labor, and this may potentially enhance maternal confidence and reduce overall stress. -
ANSWER-Greater patience
A _______ may provide relief from preterm labor contractions, whereas a hot shower
may stimulate contractions because of the upright posture and some degree of nipple
stimulation. - ANSWER-Tub bath
A 28 y.o. G1P0 at 40 weeks has 12 hours of regular contractions which stop. This is
most likely what? - ANSWER-Normal early labor
A Bishop score of _______ increases probability of vaginal delivery after labor
induction. - ANSWER-8
According to ACOG, stripping membranes increases the change of labor starting when?
- ANSWER-Within 48 hours
According to Friedan, when does active phase of labor begin? - ANSWER-When rate of
progress increases
According to Friedman, active labor is defined as the point when what? - ANSWER-
Rate of cervical dilation increases sharply
According to Friedman, prolonged latent phase labor is defined as what? - ANSWER-
Greater than 20 hours in a nulliparous woman and more than 14 hours in a multiparous
woman
According to Friedman, what is the rate of dilation during active phase for a multiparous
mother? - ANSWER-1.5 cm/hour
According to Friedman, what is the rate of dilation during active phase for a nulliparous
mother? - ANSWER-1.2 cm/hour
According to Friedman, what is the time limit for the latent phase for a multiparous
mother? - ANSWER-Less than 14 hours
According to Friedman, what is the time limit for the latent phase for a nulliparous
mother? - ANSWER-Less than 20 hours
According to Friedman, when does the second stage of labor begin? - ANSWER-
Complete dilation
, According to Friedman, when does the second stage of labor end? - ANSWER-Birth of
baby
Are prostaglandin receptors always present in myometrial tissues? - ANSWER-Yes
Before 7cm of dilation, is it not uncommon for nulliparous women to not have cervical
change for how long? - ANSWER-2 hours
Does misoprostol or dinoprostone have greater risk for uterine tachysystole? -
ANSWER-Misoprostol
Does oral misoprostol or dinosprostone result in fewer cesareans? - ANSWER-Oral
misoprostol
Early admission in labor may increase what? - ANSWER-(1) use of oxytocin (2) rate of
cesarean birth (3) use of epidural analgesia
Evidence supports what for all women in the first stage of labor? - ANSWER-(1)
continuous support (2) flexible parameters for defining labor progress (3) intermittent
auscultation of the fetal heart (4) promotion of upright positions and activities (5)
nonpharmacologic methods of pain relief
Friedman identified prolonged latent labor as what? - ANSWER-More than 20 hours in
nulliparas and 14 hours in multiparas
Have FHR decelerations with misoprostol always led to adverse neonatal outcomes? -
ANSWER-No
How can you help prevent ketonuria in early labor? - ANSWER-Education women
during prenatal period about adequate food and fluid intake in early labor
How long does it take the uterus to reach a steady state on oxytocin infusion? -
ANSWER-30-40 minutes
If a woman is in stable condition and is not yet in active labor, what can you do? -
ANSWER-Shut it off to correct downregulation
If someone presents for labor evaluation and is not in active labor, what are the
options? - ANSWER-(1) going home (2) admission (3) staying at birth facility with re-
evaluation after period of time
In a healthy woman with a term pregnancy in early labor, the occurrence of ketonuria is
indicative of what? - ANSWER-Inadequate nutrition
Is intervention always necessary with ketonuria? - ANSWER-No
